Pre-visit brief

Mona Haddad
71 · Female · Lebanese resident · Arabic
Recommended next step: annual check. No action needed.
Export FHIRExport PDF| Detector | Value | Threshold | Result |
|---|---|---|---|
| Reliable change index | -0.28 | -1.645 | Within |
| CUSUM drift (cumulative sum) | 0.00 | 4 | Within |
| Personal slope | 0.23 | -0.5 | Within |
Since the previous counted check (20 May 2026), the composite moved from -0.24 to -0.19. Personal baseline -0.32.
| Date | Check | Against your range |
|---|---|---|
| 12 Nov 2026 | Counted | Inside |
| 20 May 2026 | Counted | Inside |
| 19 Nov 2025 | Counted | Inside |
| 21 May 2025 | Counted | Inside |
| 27 Nov 2024 | Counted | Inside |
| 20 Nov 2024 | Counted | Inside |
| 13 Nov 2024 | Counted | Inside |
| 6 Nov 2024 | Practice | – |
Lawton IADL, informant · 0 to 8, higher is more independent
No informant form on file yet.
Own answers after each check · more help than before?
| Check | Money and bills | Medicines |
|---|---|---|
| No answers yet. | ||
The Lawton scale misses subtle change in people who still manage well, so the person's own answers sit beside it. Neither changes the band.
The 14 factors from the 2024 Lancet Commission that can be changed, and where each value came from. None of them changes the check result or starts a referral.
| Factor | Status | On file | Source | Next step |
|---|---|---|---|---|
| Less educationEarly life | Not present | 13+ years | Malaffi record | – |
| Hearing lossMidlife | Managed | Hearing aids since Oct 2025 | AirPods Pro 2 · audiology | – |
| High LDL cholesterolMidlife | Managed | On a statin · LDL 2.4 mmol/L | Malaffi lab result | – |
| DepressionMidlife | Not present | PHQ-2 0 today | Check answers today | – |
| Head injuryMidlife | Not present | Fall in 2025, no head injury | Malaffi record | – |
| Physical inactivityMidlife | Act on | Knee pain limits walking | Told us at sign-up | Physiotherapy and a seated exercise plan |
| DiabetesMidlife | Not present | HbA1c 5.4% · 2026 | Malaffi lab result | – |
| SmokingMidlife | Not present | Never smoked | Told us at sign-up | – |
| High blood pressureMidlife | Managed | On treatment · 128/80 | Malaffi record | – |
| ObesityMidlife | Not present | BMI 24.9 | Malaffi record | – |
| Excess alcoholMidlife | Not present | None reported | Told us at sign-up | – |
| Social isolationLater life | Act on | Lives alone since 2024 | Family report | Community majlis programme |
| Air pollutionLater life | Area level | Abu Dhabi, area level only | Area air quality (EAD) | – |
| Untreated vision lossLater life | Managed | Glasses updated 2026 | Malaffi record | – |
Phone and watch data are context, not a basis for referral. The referral rests on the confirmed check change of 10 Nov 2026.
| Date | Counted | Composite | State | Released |
|---|---|---|---|---|
| 12 Nov 2026 | Yes | -0.19 | Stable | Yes |
| 20 May 2026 | Yes | -0.24 | Stable | Yes |
| 19 Nov 2025 | Yes | -0.41 | Stable | Yes |
| 21 May 2025 | Yes | -1.05 | Stable | Yes |
| 27 Nov 2024 | Yes | -1.11 | Stable | Yes |
| 20 Nov 2024 | Yes | -1.02 | Stable | Yes |
| 13 Nov 2024 | Yes | -1.08 | Stable | Yes |
| 6 Nov 2024 | Practice | -1.42 | Stable | Yes |
Scores rise over the first checks as the activities become familiar. The baseline uses checks 1 to 3 and allows for this practice gain.
Requested from Shamma (daughter). It arrives through a separate channel and is kept apart from Hamad's own answers.
8 Nov · 6 min · Arabic (Gulf) · reminder call
Recorded: "I sleep about five hours. The new tablets for blood pressure are fine."
A signal, not a confidence index: each missing item lowers it one step. Missing data is flagged, never treated as zero.
Missing
Released automatically under the steady / recheck rule. You can still add a note.
0.14 · mild frailty
Deficits found: hearing (aided), osteoarthritis, hypertension, 4 medicines, falls history.
A genetic marker is context. It does not change the screening result, the band or the referral, and it is shared with the person only through genetic counselling.
MBZUAI MAGNET-AD / ClinGRAD export (longitudinal series). Research only. Needs research consent (not given) and an ethics approval.
Research only · not used in care
Mood on the last checks: 19 Nov 2025 fine · 20 May 2026 fine · 12 Nov 2026 fine
Low mood also lowers attention scores. A check done during low mood is read with that in mind, and treating the mood comes first.